Active NPI
Pamela Jefferson
- Speech-Language Assistant
- Lawton, OK
National Provider Identifier
1831782101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA62
- Practice address
- 753 NW Fort Sill Blvd
Lawton, OK 73507-5498 - Phone
- (580) 357-6900
- Fax
- (580) 585-6405
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA62 | OK | Primary |
Addresses
Primary practice location
753 NW Fort Sill Blvd
Lawton, OK 73507-5498
Mailing address
753 NW Fort Sill Blvd
Lawton, OK 73507-5498
Phone (580) 357-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA62 | OK | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Public Schools | Past | Accepting new patients | |
| Lawton Independent School District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1265493837
-
- Local Education Agency (LEA)
- Lawton, OK
- NPI 1104299726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1831782101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 NW FORT SILL BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735075498",
"telephone_number": "580-357-6900",
"fax_number": "580-585-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 NW FORT SILL BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735075498",
"telephone_number": "580-357-6900",
"fax_number": "580-585-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "PAMELA",
"name_prefix": "Prof.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-03-30",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "OK",
"license": "SLPA62",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.